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Coroner’s reportPrevention of future deaths · 2019-0396

“Evidence given by fire investigators was that they are increasingly attending fires…”

Dated 22 Nov 2019, from the coroner for Staffordshire (South). Sent to 6 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 17 Jan 2020. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated22 Nov 2019
  2. Deadline17 Jan 2020
  3. Published on judiciary.uk28 Dec 2019
  4. Today27 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Department of Health and Social CareResponse publishedPublished on judiciary.uk in December 2019.
National Institute for Health and Care ExcellenceResponse publishedPublished on judiciary.uk in December 2019.
Public Health EnglandResponse publishedPublished on judiciary.uk in December 2019.
British Medical AssociationDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Jan 2020. A reply may have been sent and not yet published.
Care Quality CommissionDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Jan 2020. A reply may have been sent and not yet published.
Trent and Dove Social HousingDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Jan 2020. A reply may have been sent and not yet published.

Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— Evidence given by fire investigators was that they are increasingly attending fires involving (mostly) the elderly where there is evidence of petrol based emollient cream in use. The petrol base is found in a significant number of prescribed creams and creams (such as moisturisers) which are readily available over the counter. This cream impregnates clothing and is not washed away during a normal washing programme. In the event of a fire the victim is rapidly engulfed by flames with little chance of survival. The cause of death is generally burns, not inhalation of smoke. The concern is the lack of awareness of this problem by medical professionals, carers, victims and their families. It is felt appropriate heighten awareness of this growing problem amongst health professionals and others who work in the field of prescribing such creams and those caring for patients using petrol based emollients. H

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2019-0396
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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